Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Pain Assessment and Management Initiative (PAMI) - Opioid Prescribing and Equianalgesic Chart - Agents and Dosing

#Management
Pain Assessment ... and Management Initiative ... #Pain #Pharmacology ... #Opioid #Opiate ... Doses #Dosing #Table
Alternatives to opioids for pain management in the emergency department decreases opioid usage and maintains patient
to opioids for pain ... emergency department ... decreases opioid usage and ... #Pharmacology # ... Indications #Pathways #Table
Glaucoma - Emergency Department Management
- All patients should get emergency ophthalmologic consultation
- Start with eye drops
Glaucoma - Emergency ... Department Management ... below) and add ... blocker) - Topical meds ... is < 40 mmHg #Pharmacology
Pearls for Treatment of Alcohol Use Disorder

First-line pharmacotherapies for moderate to severe AUD include naltrexone and
include abdominal pain ... risk for using opiates ... #UseDisorder #Management ... #Treatment #AUD ... #Medications #Pharmacology
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
of acute opiate ... opioid that is safe and ... If patient is stable ... co-exisiting chronic pain ... Opioid #Withdrawal #Emergency
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Combinations of Non-Pharmacologic ... Medication Assisted Treatment ... Mahlaqa Butt #Emergency ... Stewardship #Algorithm #Management ... #Pain #ED
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
/back pain that ... Marfans, EDS ... deficit β€’ Shock Treatment ... : i.v. opiates ... Dissection #diagnosis #management
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... c deliriogenic meds ... if uncontrolled pain ... sleeping, administer pharmacologic ... Delirium #Checklist #Management
IDSA Recommendations for Preventing and Treating Histoplasma Capsulatum Infections in HIV-AIDS
Indications for Initiating Primary Prophylaxis:
 β€’
IDSA Recommendations ... with ARV (see Table ... #Prevention #Treatment ... #management #opportunistic ... infections #HIVAIDS #pharmacology
IDSA Recommendations for Preventing and Treating Disseminated Mycobacterium Avium Complex in HIV-AIDS
Preventing 1st Episode of Disseminated
please refer to Table ... prevent or delay emergence ... #Prevention #Treatment ... #management #opportunistic ... infections #HIVAIDS #pharmacology